DR. SOPHIA K APPLE MD
NPI 1861437683
Pathology - Anatomic Pathology & Clinical Pathology in Pasadena, CA

Active since June 17, 2006PECOS Enrolled
80.51/100
CMS Quality Rating
100 W CALIFORNIA BLVD, PASADENA, CA 91105(626) 352-1444 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2025, Feb 7, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Sophia K Apple Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOPHIA K APPLE MD (NPI 1861437683) is an individual anatomic pathology & clinical pathology provider in Pasadena, California, licensed in California (G77815) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1861437683
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. SOPHIA K APPLECredential: MD
Location Address100 W CALIFORNIA BLVDPasadena, CA 91105-3010
Mailing Address805 E Mckeller CtAzusa, CA 91702-7200
Sole ProprietorNo
Enumeration DateJune 17, 2006
Last NPPES UpdateJuly 8, 20255 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1861437683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in CA · G77815
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License G77815 (CA)
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License G77815 (CA)
100 W CALIFORNIA BLVD, Pasadena, CA 91105

Secondary Practice Location 1

Location 110833 Le Conte Ave, STE B186CHSLos Angeles, CA 90095-3075 · Phone (310) 794-8285

Other Identifiers 1

Medicaid00G778150CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sophia K Apple Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sophia Apple reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
100 W CALIFORNIA BLVD
Pasadena, CA 91105
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
Specialist
6500 WILSHIRE BLVD FL 15
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
344 services73 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
338 services72 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
286 services80 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
280 services65 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
192 services150 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
114 services97 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.87
Promoting Interoperability96
Improvement Activities40
Cost62.52

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Registered Nurse (Registered Nurse First Assistant)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Radiology (Diagnostic Radiology)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Pain Medicine (Pain Medicine)
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Rehabilitation Unit
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Hospitalist
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Emergency Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105
Internal Medicine
100 W CALIFORNIA BLVD
PASADENA, CA 91105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Apple's NPI number?

The NPI number for Sophia Apple is 1861437683. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Sophia Apple located?

Sophia Apple practices at 100 W California Blvd, Pasadena, CA 91105. The listed phone number is (626) 352-1444.

What is Sophia Apple's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Sophia Apple enrolled in Medicare?

Yes. Sophia Apple is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sophia Apple's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Apple reassigns Medicare benefits to 2 organizations: The Huntington Medical Foundation (Pasadena, CA) and Cedars-Sinai Medical Care Foundation (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Apple's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sophia Apple was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.